0396/2019 - Dificuldade em tomar medicamentos e acidente vascular encefálico em idosos com hipertensão arterial sistêmica: Estudo Fibra.
Difficulty in taking medication and stroke among older adults with systemic arterial hypertension: The Fibra Study.
Publicado
Author:
• Juliana Lustosa Torres - Torres, JL - <jlt.ufmg@gmail.com>ORCID: https://orcid.org/0000-0002-3687-897X
Co-author(s):
• Anita Liberalesso Neri - Neri, A.L. - <anitalbn@uol.com.br>ORCID: https://orcid.org/0000-0002-6833-7668
• Eduardo Ferrioli - Ferrioli, E - <eferriol@fmrp.usp.br>
ORCID: http://orcid.org/0000-0002-5028-2451
• Roberto Alves Lourenço - Lourenço, R.A - <roberto.lourenco@globo.com>
ORCID: http://orcid.org/0000-0003-0838-1285
• Lygia Paccini Lustosa - Lustosa, L.P - <lygia.paccini@gmail.com>
ORCID: https://orcid.org/0000-0002-0919-1320
Abstract:
Objective(s): To investigate whether difficulty in taking medication is associated with stroke among older adults with Systemic Arterial Hypertension (SAH) and to explore their association with living arrangements.Methods: Cross-sectional study was based on 3,502 older adults with SAHthe four universities pole of Frailty in Brazilian Older People (Fibra) Study, Brazil, including 14 municipalities of the five Brazilian regions. We used the medical diagnosis of stroke and difficulty in taking medications (self-reported difficulty and financial difficulty affording prescribed medications). Multivariate analysis was performed using logistic regression.
Results: Differentlywomen, older men with SAH, which report difficulty in taking medication (unintentional non-adherence), have higher odds of stroke (OR = 1.96; 95% CI 1.13, 3.39). When stratified by living arrangements, those living with a partner have even higher odds of stroke (OR = 4.31; 95% CI 1.43, 12.96) compared to those without difficulty in taking medication and living alone. None association was found for difficulty affording prescribed medication for both men and women.
Conclusions: Unintentional difficulty in taking medication plays a role in SAH treatment among men. Primary care strategies for controlling blood pressure should not be focus only on patients but targeting spouses as well.
